Active NPI
Lisa Jorgenson
- Critical Care Neonatal Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1780955849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- CP000532
- Practice address
- 1325 S Cliff Ave
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-4425
- NPI assigned
- Jan 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | CP000532 | SD | Primary |
Addresses
Primary practice location
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Mailing address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (605) 322-4425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568460772 | Other | SD | HOSPITAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000532 | SD | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- lisa.jorgenson@avera.sdhealthlink.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1780955849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051007",
"telephone_number": "605-322-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051007",
"telephone_number": "605-322-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSON",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-21",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "SD",
"license": "CP000532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPITAL",
"identifier": "1568460772",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.